


<div id="signupwrap">
<form action="" method="get" autocomplete="off" id="signupform">
<table>
	<tbody>
		<tr>
			<td class="label"><label for="firstname" id="lfirstname">First
			Name</label></td>
			<td class="field"><input type="text" maxlength="100" value=""
				name="firstname" id="firstname" /></td>
			<td class="status" />
		</tr>
		<tr>
			<td class="label"><label for="lastname" id="llastname">Last
			Name</label></td>
			<td class="field"><input type="text" maxlength="100" value=""
				name="lastname" id="lastname" /></td>
			<td class="status" />
		</tr>
		<tr>
			<td class="label"><label for="username" id="lusername">Username</label></td>
			<td class="field"><input type="text" maxlength="50" value=""
				name="username" id="username" /></td>
			<td class="status" />
		</tr>
		<tr>
			<td class="label"><label for="password" id="lpassword">Password</label></td>
			<td class="field"><input type="password" value="" maxlength="50"
				name="password" id="password" /></td>
			<td class="status" />
		</tr>
		<tr>
			<td class="label"><label for="password_confirm"
				id="lpassword_confirm">Confirm Password</label></td>
			<td class="field"><input type="password" value="" maxlength="50"
				name="password_confirm" id="password_confirm" /></td>
			<td class="status" />
		</tr>
		<tr>
			<td class="label"><label for="email" id="lemail">Email
			Address</label></td>
			<td class="field"><input type="text" maxlength="150" value=""
				name="email" id="email" /></td>
			<td class="status" />
		</tr>
		<tr>
			<td class="label"><label>Which Looks Right</label></td>
			<td style="vertical-align: top; padding-top: 2px;" colspan="2"
				class="field">
			<table>
				<tbody>

					<tr>
						<td style="padding-right: 5px;"><input type="radio" value="0"
							name="dateformat" id="dateformat_eu" /> <label
							for="dateformat_eu" id="ldateformat_eu">14/02/07</label></td>
						<td style="padding-left: 5px;"><input type="radio" value="1"
							name="dateformat" id="dateformat_am" /> <label
							for="dateformat_am" id="ldateformat_am">02/14/07</label></td>
						<td></td>
					</tr>
				</tbody>
			</table>
			</td>
		</tr>

		<tr>
			<td class="label"> </td>
			<td colspan="2" class="field">
			<div id="termswrap"><input type="checkbox" name="terms"
				id="terms" /> <label for="terms" id="lterms">I have read and
			accept the Terms of Use.</label></div>
			<!-- /termswrap --></td>
		</tr>
		<tr>
			<td class="label"><label for="signupsubmit" id="lsignupsubmit">Signup</label></td>
			<td colspan="2" class="field"><input type="submit"
				value="Signup" name="signup" id="signupsubmit" /></td>
		</tr>

	</tbody>
</table>
</form>
</div>